Cargando…

Massive urethrorrhagia due to a blunt perineum injury; a report of a case with bulbar pseudoaneurysm

Blunt perineum trauma rarely leads to massive urethrorrhagia due to the formation of a bulbar aneurysm. A 29-year-old man with unstable hemodynamic underwent a digital subtraction angiography (DSA), which revealed a pseudoaneurysm in the penile bulb supplied from both internal pudendal arteries fist...

Descripción completa

Detalles Bibliográficos
Autores principales: Khorami, Mohammad Hatef, Zandi, Zahra, Khorami, Farbod, Jafarpisheh, Mohammad Saleh
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8040261/
https://www.ncbi.nlm.nih.gov/pubmed/33868939
http://dx.doi.org/10.1016/j.eucr.2021.101651
_version_ 1783677751335583744
author Khorami, Mohammad Hatef
Zandi, Zahra
Khorami, Farbod
Jafarpisheh, Mohammad Saleh
author_facet Khorami, Mohammad Hatef
Zandi, Zahra
Khorami, Farbod
Jafarpisheh, Mohammad Saleh
author_sort Khorami, Mohammad Hatef
collection PubMed
description Blunt perineum trauma rarely leads to massive urethrorrhagia due to the formation of a bulbar aneurysm. A 29-year-old man with unstable hemodynamic underwent a digital subtraction angiography (DSA), which revealed a pseudoaneurysm in the penile bulb supplied from both internal pudendal arteries fistulized to the urethral duct bulb. A catheter was inserted into the distal part of pudendal arteries at the pseudoaneurysm's proximity, and an intermittent embolizing agent (Gel-foam) was injected. The pseudoaneurysm was filled with Gel-foam. Despite the superiority of conservative management, urethrorrhagia's life-threatening nature calls for angiographic intervention, successfully embolized using gel-foam with negligible complications.
format Online
Article
Text
id pubmed-8040261
institution National Center for Biotechnology Information
language English
publishDate 2021
publisher Elsevier
record_format MEDLINE/PubMed
spelling pubmed-80402612021-04-15 Massive urethrorrhagia due to a blunt perineum injury; a report of a case with bulbar pseudoaneurysm Khorami, Mohammad Hatef Zandi, Zahra Khorami, Farbod Jafarpisheh, Mohammad Saleh Urol Case Rep Trauma and Reconstruction Blunt perineum trauma rarely leads to massive urethrorrhagia due to the formation of a bulbar aneurysm. A 29-year-old man with unstable hemodynamic underwent a digital subtraction angiography (DSA), which revealed a pseudoaneurysm in the penile bulb supplied from both internal pudendal arteries fistulized to the urethral duct bulb. A catheter was inserted into the distal part of pudendal arteries at the pseudoaneurysm's proximity, and an intermittent embolizing agent (Gel-foam) was injected. The pseudoaneurysm was filled with Gel-foam. Despite the superiority of conservative management, urethrorrhagia's life-threatening nature calls for angiographic intervention, successfully embolized using gel-foam with negligible complications. Elsevier 2021-03-23 /pmc/articles/PMC8040261/ /pubmed/33868939 http://dx.doi.org/10.1016/j.eucr.2021.101651 Text en © 2021 Published by Elsevier Inc. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Trauma and Reconstruction
Khorami, Mohammad Hatef
Zandi, Zahra
Khorami, Farbod
Jafarpisheh, Mohammad Saleh
Massive urethrorrhagia due to a blunt perineum injury; a report of a case with bulbar pseudoaneurysm
title Massive urethrorrhagia due to a blunt perineum injury; a report of a case with bulbar pseudoaneurysm
title_full Massive urethrorrhagia due to a blunt perineum injury; a report of a case with bulbar pseudoaneurysm
title_fullStr Massive urethrorrhagia due to a blunt perineum injury; a report of a case with bulbar pseudoaneurysm
title_full_unstemmed Massive urethrorrhagia due to a blunt perineum injury; a report of a case with bulbar pseudoaneurysm
title_short Massive urethrorrhagia due to a blunt perineum injury; a report of a case with bulbar pseudoaneurysm
title_sort massive urethrorrhagia due to a blunt perineum injury; a report of a case with bulbar pseudoaneurysm
topic Trauma and Reconstruction
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8040261/
https://www.ncbi.nlm.nih.gov/pubmed/33868939
http://dx.doi.org/10.1016/j.eucr.2021.101651
work_keys_str_mv AT khoramimohammadhatef massiveurethrorrhagiaduetoabluntperineuminjuryareportofacasewithbulbarpseudoaneurysm
AT zandizahra massiveurethrorrhagiaduetoabluntperineuminjuryareportofacasewithbulbarpseudoaneurysm
AT khoramifarbod massiveurethrorrhagiaduetoabluntperineuminjuryareportofacasewithbulbarpseudoaneurysm
AT jafarpishehmohammadsaleh massiveurethrorrhagiaduetoabluntperineuminjuryareportofacasewithbulbarpseudoaneurysm